DAVID S CHANG LLC (NPI# 1972931715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972931715 |
| Entity Type | Organization |
| Organization Name | DAVID S CHANG LLC |
| Practice Address |
1200 E Mcneese St Suite B Lake Charles LA 70607-4770 |
| Mailing Address |
524 Dr Michael Debakey Dr Lake Charles LA 70601-5725 |
| Practice Telephone | 3374917569 |
| Practice Fax Number | 3374339861 |
| Mailing Telephone | 3374917569 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |
| Authorized Official Name | DAVID S CHANG (OWNER) |
| Authorized Official Telephone | 3374917569 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
206380 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1200 E MCNEESE ST SUITE B |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518949460 | Larry Allen Hauskins | Radiology | 524 S Ryan St, Regional Cancer Center, Lake Charles, LA 70601-5725 | 2005-11-16 |
| 1609037837 | David Shi-wei Chang | Radiology | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 | 2008-06-20 |
| 1114059821 | James G Maze | Radiology | 1701 Oak Park Blvd, Lake Charles, LA 70601 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720489362 | Acadiana Radiation Therapy LLC | Radiology | 525 N Lewis St, New Iberia, LA 70563-2015 | 2014-09-15 |
| 1235557000 | Audrey Dang | Radiology | 232 Southwood Dr, Gretna, LA 70056-7865 | 2014-03-31 |
| 1437442472 | Ross Edward Bland | Radiology | 411 Calypso Street, Monroe, LA 71201 | 2011-05-24 |
| 1477846913 | Edward Mannina | Radiology | 1120 Robert Blvd Ste 100, Slidell, LA 70458 | 2011-05-17 |
| 1730488974 | Jill Nicole Vincent | Radiology | 2000 Canal St Fl 1, New Orleans, LA 70112 | 2011-03-25 |
| 1487974044 | Lafayette Health Ventures Inc | Radiology | 155 Hospital Dr Ste 102, Lafayette, LA 70503-2852 | 2010-06-07 |
| 1760708614 | Rachael E Harmon | Radiology | 3600 Prytania St., Ste. 35, New Orleans, LA 70115-3678 | 2010-04-18 |
| 1235364159 | Carl S Merlin | Radiology | 3 Poydras St, Unit 4f, New Orleans, LA 70130-1657 | 2009-05-20 |
| 1700021961 | Karl Thomas Noell | Radiology | 630 Greenbriar Rd, Lafayette, LA 70503-3408 | 2008-12-02 |
| 1376700591 | James Kyle Russo II | Radiology | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2008-05-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70607 |
Please comment or provide details below to improve the information on DAVID S CHANG LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.